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回顾性分析电视腹腔镜下经腹腔、经腹膜后径路肾囊肿去顶术治疗58例肾囊肿疾病。探讨腹腔镜经腹腔、腹膜后途径治疗肾囊肿的方法和疗效。25例采用经腹腔途径,手术时间单侧囊肿平均74 min,多发或双侧或同时行其他手术平均184 min,住院时间5~8 d;33例采用经腹膜后途径,其中30例成功,手术时间平均95.5min,无明显并发症,住院时间4~7 d。提示腹腔镜下手术治疗肾囊肿创伤小,恢复快,术后住院时间短等优势,应成为泌尿外科常规手术方式。
Retrospective analysis of laparoscopic transabdominal laparoscopic peritoneal removal of renal cysts to treat 58 cases of renal cyst disease. To investigate the method and efficacy of laparoscopic transabdominal and retroperitoneal approach in the treatment of renal cysts. Twenty-five patients underwent transperitoneal approach. The mean unilateral cyst at operation time was 74 min. The other multiple or bilateral or simultaneous other procedures averaged 184 min and the hospital stay was 5-8 d. Thirty-three patients underwent retroperitoneal approach, of which 30 were successful. Surgery The average time of 95.5min, no significant complications, hospital stay 4 ~ 7 d. Tip laparoscopic surgery for renal cyst trauma, quick recovery, shorter postoperative hospital stay, etc., should become the routine surgical urology.